Hi, I am male/31 years, suffering from less libido, pe, ed. It?s been years and years having these issue and ever year I feel like it?s getting worse. I get erections sometimes when I sleep, but I don?t get whenever I want. In my early days, my penis used to erect till 6 inches and now 3-4 inch and that too it requires hand stimulation to get erect. I don?t do intercourse much regularly once in a month or 2. I feel like like I am losing interest although from inside I have and whenever I do it ends up in early ejaculations within couple of seconds, sometimes even before insertion into vagina. I am taking medicine for controlling high bp. Earlier when I took medicine from doctor, they provided me tadalafil and some other medicine for pe I ended up with high heart rate and chest pain. So I got afraid and stopped. In last 2 years, I had only 2 times intercourse with my partner as she was pregnant during this period. I want my penis back, long, hard, long lasting. More frequent sex.

Dr. Rahul GuptaSexologist15yrs exp

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Hello- while lack of libido is sometimes related to hormonal imbalances, it's important to understand the other factors which can lower libido and contribute to erectile dysfunction and premature ejaculation. Two of the most common sexual dysfunctions that affect a large percentage of men are premature ejaculation (pe) and erectile dysfunction (ed). When it gets added by lack of libido the situation get more complicated. The incidence of these conditions have been found to be equitably spread among all socio-economic groups and can affect men of all ages. Most men who have been diagnosed with ed as a primary problem, the secondary concern in most instances is pe, the two are often thought to be mutually inclusive and are always associated with reduced sexual urge. Also because reduced or hampered blood flow, critical to achieve a penetrable erection, to the genital areas is one of the main reason for premature ejaculation and erectile dysfunction, the logic of 'one reason one problem' gets applied. In the last few decades, significant advancements in treatment procedures and options have improved the outlook for these three conditions and the comprehensive treatment is possible with the help of medications.  

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